Antonsen Steen, Amundsen Erik Koldberg, Ceder Rebecca, Toska Karin, Tollånes Mette Christophersen, Hansen Young Bae, Nordin Gunnar
Department of Clinical Biochemistry, Odense University Hospital, Svendborg Sygehus, DK-5700 Svendborg, Denmark.
Department of Medical Biochemistry, Oslo University Hospital, Oslo, Norway.
EJIFCC. 2024 Oct 30;35(3):154-165. eCollection 2024 Oct.
Electronic exchange of health care data demands code/terminology systems. In the Scandinavian countries, the IFCC-IUPAC's Nomenclature for Properties and Units (NPU) terminology is used for results in biochemistry, pharmacology, and immunology. Implementation, use and administration of NPU has differed between the countries despite similar health care and lab sectors. In Norway and in one Swedish region NPU - with supplementary SNOMED CT codes is also used for reporting results in microbiology. In Denmark and to some extent in Norway and Sweden NPU is also used for ordering tests. In Norway NPU (as part of NLK) has since 2018 been mandatory in requesting governmental reimbursement for laboratory tests. The numbers of national codes vary considerably (DAN: 303, NOR: 1612, SWE: 415). Furthermore, in Denmark >3500 local codes are used for requisition and to communicate more details with the analytical result than the NPU terminology allows. Also, in Norway the NPU codes are by many lab professionals considered insufficient for communicating all relevant information with results. However, the Norwegian reimbursement system has been a strong motivator for implementing international NPU codes. We find it necessary to add information about "how" a measurement is done to the information about "what" is measured in the laboratory report. Until this is settled otherwise, we suggest an increased pragmatism towards producing national codes including method specific information. Furthermore, we recommend that organisations responsible for classifications have heavy professional participation and decision-making competencies in order to lead and guide implementation and optimal use of the classifications.
医疗保健数据的电子交换需要代码/术语系统。在斯堪的纳维亚国家，国际临床化学和检验医学联合会（IFCC）与国际纯粹与应用化学联合会（IUPAC）的属性和单位命名法（NPU）术语用于生物化学、药理学和免疫学的结果报告。尽管医疗保健和实验室部门相似，但各国在NPU的实施、使用和管理方面存在差异。在挪威和瑞典的一个地区，NPU（辅以SNOMED CT代码）也用于微生物学结果报告。在丹麦以及在一定程度上在挪威和瑞典，NPU还用于订购检测项目。在挪威，自2018年起，NPU（作为NLK的一部分）在申请政府实验室检测报销时成为强制性要求。国家代码的数量差异很大（丹麦：303个，挪威：1612个，瑞典：415个）。此外，在丹麦，超过3500个本地代码用于申请，并用于传达比NPU术语允许的更多的分析结果细节。同样，在挪威，许多实验室专业人员认为NPU代码不足以传达结果的所有相关信息。然而，挪威的报销系统一直是实施国际NPU代码的强大动力。我们发现在实验室报告中，有必要在关于“测量什么”的信息中添加关于“如何”进行测量的信息。在另行解决之前，我们建议在制定包括方法特定信息的国家代码时增加务实性。此外，我们建议负责分类的组织要有大量专业人员参与并具备决策能力，以便领导和指导分类的实施和最佳使用。
